How Weight Loss is Linked to Future Health for Older Adults

Journal of the American Geriatrics Society Research Summary

Studies describing the effects of weight loss on health rarely consider age. However, weight loss during middle age likely has different effects on your health than does weight loss when you’re 65-years-old or older—especially when you’re older than 85.

Although some studies have found that weight loss in older adults is generally linked to an increase in illness and death, researchers say that these studies were either too short or were based on information that may have been interpreted incorrectly.

However, one study about fractures and osteoporosis (a medical condition in which bones become thin, lose density, and become increasingly fragile) looked specifically at health and weight for women who were over age 65. Reviewing more than 20 years’ worth of data for study participants, the team of researchers responsible for this study had the chance to examine links between long-term weight gain/loss and health. Their findings were published in the Journal of the American Geriatrics Society. Continue reading

Physical Therapy in the Emergency Department after a Fall May Help Reduce Future Fall-Related Visits to the Emergency Department

Journal of the American Geriatrics Society Research Summary

Falls are the leading cause of illness and death among Americans aged 65 and older. In 2014, some 2.8 million older adults visited the emergency department (ED) for a fall-related injury. And over time, the ED visit rate for falls among older adults has grown to 68.8 per 1,000 older adults (as of 2010).

Older adults who visit the ED for a fall are at high risk for both revisiting the ED and dying. In fact, some estimates show that 25 percent of older adults visiting the ED for a fall returned for at least one additional fall-related visit. Fifteen percent of those older adults died within the following year.

Because so many older adults visit an ED due to falls, many experts see an opportunity for EDs to play a role in reducing future falls among older adults who are at high risk.

In a new study, published in the Journal of the American Geriatrics Society, researchers explored whether older adults who received physical therapy (PT) services while in the ED for a fall experienced fewer fall-related repeat visits to the ED.

The research team used Medicare claims data representing Medicare beneficiaries from across the country. The information examined differences in 30-day and 60-day ED repeat visit rates among older adults who visited the ED for a fall and who received PT services in the ED. The researchers compared that to older adults who did not receive PT services in the ED after a fall. Continue reading

Helping Prevent Falls in Older Adults with Dementia

Journal of the American Geriatrics Society Research Summary

Annually, about one-third of all American adults aged 65 or older experience a fall. Falls are a major cause of medical problems, especially among those who have dementia. In fact, twice the number of older adults with dementia experience falls, compared to people without dementia.

What’s more, older adults with dementia or other cognitive problems who fall are five times more likely to be admitted to long-term care facilities, and are at higher risk for fractures, head injuries, and even death, compared to older adults without dementia who experience a fall.

Researchers have recently focused on the role that dementia and other cognitive problems may play in falling, in hopes of discovering ways to manage and prevent falls. They published their study in the Journal of the American Geriatrics Society. Continue reading

Older Drivers Who Experience Falls May be at a Higher Risk for Car Crashes

JAGS graphicJournal of the American Geriatrics Society Research Summary

As we age, our ability to drive may help us live independently, shop for ourselves, and maintain social connections. Although car crash rates are low among older adults and are declining, older adults do still have higher rates of fatal crashes. Falls, which are a common and preventable cause of injury among older adults, may lower our ability to drive safely.

Experts believe that falls are related to driving in four ways:

  • They can cause physical injury that limits mobility (our ability to move) and interferes with driving performance.
  • Falling can increase the fear of falling, which leads to a reduction in physical activity. Reduced physical activity can weaken our physical strength, which also could reduce fitness for driving.
  • Falls can affect an older adult’s mental well-being, making them more fearful and leading to changes in driving behaviors.
  • Falls and difficulty driving may be caused by common factors, such as vision problems.

A research team created a study to see whether falls were related to driving risks and behaviors among older adults. Their study was published in the Journal of the American Geriatrics Society. Continue reading

Older Adult Falls: A Growing Danger

grantbaldwin_210x240Grant Baldwin, PhD
Director, Division of Unintentional Injury Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention

Do you know an older adult who has fallen recently? Chances are that you do, since every second of every day, an older American falls, as highlighted in the Centers for Disease Prevention and Control’s (CDC’s) recent Morbidity and Mortality Weekly Report (MMWR), Falls and Fall Injuries Among Adults Aged 65 Years and Over — ­­­United States, 2014. Falls are very common among older Americans. Research shows that individuals in certain groups are more likely to fall, such as women and American Indians/Alaskan Natives. Another striking finding was that in one year, an estimated 7 million falls required medical treatment or caused restricted activity.

So, what can healthcare providers do to reduce falls? CDC developed the Stopping Elderly Accidents, Deaths and Injuries (STEADI) initiative that gives all members of the healthcare team (e.g., physicians, nurses, pharmacists, physical therapists, and caregivers) guidance on how to make fall prevention part of their routine care for older adults.

The CDC STEADI initiative is based on the American and British Geriatrics Societies’ guidelines on fall risk assessment and follow-up. STEADI includes information for providers on how to screen for fall risk, assess fall risk factors, and provide or make referrals to evidence-based interventions that can reduce patient risk. Continue reading